| NPI | 1710623863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE RANDELL MITCHELL Owner 501-732-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |